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* Denotes that the field is mandatory.

Request the removal of rubbish from the roadside or nature strip within Knox.

Rubbish for more information.

First Name *

Surname *

Property Address *

Phone Number *

E-Mail Address

Preferred Contact Method

Please provide exact location where rubbish is dumped, giving cross streets if possible *

Please provide a description of the content of the dumped rubbish *

Please provide the date you noticed the rubbish